Alyssa Christine Brooks, D.C.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

4760-012 Issued in WI

Practice address

717 Churchill St
Waupaca, WI 54981-2016

Phone

(715) 258-7001

NPI assigned

Aug 1, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1750669255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 CHURCHILL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812016",
            "telephone_number": "715-258-7001",
            "fax_number": "715-258-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CHURCHILL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812016",
            "telephone_number": "715-258-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ALYSSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4760012",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "WI",
            "license": "4760-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Ann Bosquez
• Lanna Boyle
• Sherry Lyn Brasch
• George Breitenstein, PHARMACIST
• Hope Brock, L.AC.
• Gilbert C Burgstede, M.D.
• Michelle Amber Burington, RD, CD, CLS
• Christine W Burnett, NP
• Hillary Busch, DNP, APNP, FNC-BC
• Russell F. Butkiewicz, M.D.

• Pediatric Chiropractor in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Pediatric Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.